Facility Coding Outpatient Complex Coder

Banner Health; Indianapolis (IN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a motivated Outpatient Complex Coder to join their Acute Care HIMS Coding Team. This fully remote position requires expertise in ICD-10CM and CPT4 coding, ensuring compliance with stringent coding standards. The role involves analyzing medical records, coding outpatient surgical services, and mentoring junior staff. Ideal candidates will have at least two years of complex coding experience and relevant certifications.

Qualifications

• At least two years of outpatient complex coding experience in an acute care setting.
• Proficiency in ICD CM/PCS and CPT4 coding.
• Certification in active status with AHIMA or AAPC.

Responsibilities

• Analyze medical records and accurately code diagnoses and procedures.
• Ensure compliance with coding guidelines and regulations.
• Mentor less experienced staff on complex coding issues.

Skills

ICD-10CM

CPT4 coding

Coding accuracy

Compliance

Education

High school diploma or equivalent

Associate’s degree in healthcare-related field

Certification (CCS, COC, CPC, RHIT, RHIA)

Tools

Remote work tools

Job description

Facility Coding Outpatient Complex Coder

Looking for a motivated, experienced Outpatient | Acute Care | HIMS Complex Coder to join our talented Acute Care HIMS Coding Team. Candidate should have complex coding experience in acute care, across all service lines including General, Orthopedic, Urology/Gynecology, Cardiac, Spinal, etc. Must have ICD-10CM and ICD-10-PCS coding experience.

Our outpatient coding expectation is 1-2 charts per hour while maintaining an accuracy rate of 95% or higher. We use the number of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to meet Banner standards, which are more stringent than most national standards. Meeting Accounts Receivable goals supports Banner Financial goals. You will be fully supported in training and throughout your career here!

This is a fully remote position available only in specific states. Hours are flexible, generally any 8-hour period between 7am – 7pm, Monday - Friday, with production emphasized. A Coding Assessment will be given after a successful interview, to be completed within 48 hours.

Position Summary: This role involves coding and abstracting outpatient complex surgical and observation services at all Banner hospitals, including high-acuity facilities. It requires reviewing health records and assigning diagnosis and procedure codes using ICD CM/PCS and CPT4 systems, ensuring compliance with all coding guidelines and regulations.

Core Functions:

• Analyze medical records, accurately code diagnoses and procedures, and consult with providers for clarifications. Ensure coding accuracy and compliance with national guidelines and reimbursement requirements.
• Abstract clinical diagnoses and procedure codes, ensuring completeness of documentation.
• Maintain compliance with all regulatory and Banner-specific coding standards.
• Mentor less experienced staff and act as a subject matter expert for complex coding issues.
• Work independently within set rules, interpreting coding guidelines and resolving complex coding matters.

Minimum Qualifications: High school diploma or equivalent, specialized training or an associate’s degree in a healthcare-related field. Certification such as CCS, COC, CPC, RHIT, RHIA, or similar, in active status with AHIMA or AAPC. At least two years of outpatient complex coding experience in an acute care setting. Proficiency in ICD CM/PCS, CPT4 coding, and remote work tools.

Preferred Qualifications: Associate degree or equivalent experience, prior experience in large multi-system healthcare organizations.

Additional info: Anticipated closing date: 2025-09-18. EEO statement and privacy policy included.